Abstract

RUIZ-RUIZ, R.  and  BASTERRA-GORTARI, V.. Functional and legal repercussions of an Organic personality disorder following a stroke. Cuad. med. forense [online]. 2015, vol.21, n.3-4, pp.169-174. ISSN 1988-611X.

The organic personality disorder causes a significant alteration of the habitual patterns of behavior displayed by the subject premorbidly, involving the expression of emotions, needs and impulses. We report the case of a 49-year-old woman who, after suffering a cerebral infarction, presented a transformation of her personality traits and previous values. She was previously a person with multiple fears, careful, methodical in her daily life. After the cerebral infarction she began to present conducts of provocation and major disinhibition, impulsiveness, minor tolerance to the frustration, minimal capacity of planning and resolution of problems. In addition, she was unable to preserve any work and lost the social relationships. Neuroimaging studies (CT, MR), EEG and a neuropsychological assessment were conducted. The obtained results are compatible with an Organic Personality Disorder disinhibited subtype, clinically characterized by emotional liability, disinhibited behavior and lack of impulses control. The organic personality disorder is a chronic irreversible disease that is affecting the self-government patient´s ability and therefore relevant forensic psychiatric aspects must be assessed.

Keywords : Neuropsychological assessment; Cerebral infarction somatic marker; Dysexecutive syndrome; Organic personality disorder.

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